| 摘要: |
| 目的 分析和探讨经食管超声心动图在围术期右心占位中的应用价值。方法 回顾分析40例初步诊断右心占位的围术期超声心动图检查结果及临床特征,其中35例与手术及病理结果进行对照。结果 除5例界嵴外,其余包括心脏肿瘤26例(65%),血栓5例(12.5%),赘生物4例(10%)。肿瘤病变中,原发性占84.6%(22/26),其中良性占86.4％(19/22),恶性3例(14.3%)；继发性肿瘤4例(16%),良性及恶性各为2例(50%)。术前TEE与TTE诊断敏感性一致,虽然均有误诊,但TEE准确性高于TTE,且TEE在显示病变细节方面效果更好,实时三维亦能提供更加直观、生动的信息。结论 在右心占位病变的术前诊断、术中监测及术后随访方面,TEE较TTE效果更好。 |
| 关键词: 右心，占位 ，经胸超声心动图，经食管超声心动图 |
| DOI： |
| 投稿时间：2018-07-13修订日期：2019-06-01 |
| 基金项目: |
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| Value of transesophageal echocardiography in perioperative period of right heart occupying lesion |
| jiangyan |
| (Cardiovascular Hospital of Chongqing Kanghua zhonglian) |
| Abstract: |
| ABSTRACT Objective To analyze and explore the value of transesophageal echocardiography in perioperative period of right heart occupying lesion. Methods The results of echocardiography in perioperative period and clinical features of 40 patients who had been preliminarily diagnoesed as having right heart occupying lesion were retrospectively analyzed, and 35 cases were compared with the surgical and pathological results. Results Except 5 crista terminalis，there were 25（62.5%）heart tumors，6（15%）thrombosis and 4（10%）neoplasms. Among the 25 patients，21 ( 84% ) patients were confirmed as having primary heart tumors，including 18 (85.7% ) benign and 3 (14.3% ) malignant；4 (16%) patientswere confirmed as having secondary neoplasm including 2（50%）benign and 2（50%）neoplasms. Although there are misdiagnosis，TEE is still consistent with the diagnostic sensitivity of TTE in preoperative. The diagnostic accuracy of TEE is higher than TTE and it has a better imaging effect in lesion detail. Real-time three-dimensional can provide more intuitive and vivid information. Conclusion TEE is better than TTE in preoperative diagnosis，intraoperative monitoring and postoperative follow-up of right heart occupying lesion. |
| Key words: Right heart,Occupying lesion,Transthoracic echocardiography,Transesophageal echocardiography |
